Paul C Mattox in Bloomington - Physician Assistant
Paul C Mattox - NPI 1568562007
Paul C Mattox is a Physician Assistant in Bloomington, Indiana. Paul C Mattox practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul C Mattox is 1568562007. The last update date is 2023-02-08.
Paul C Mattox's current location address is 500 S Liberty Dr Ste 482, Bloomington, Indiana. You can contact this provider via phone number 8129185907 and fax number 8123536888. The mailing address for Paul C Mattox is 500 S Liberty Dr Ste 482, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul C Mattox |
|---|---|
| Address | 500 S Liberty Dr Ste 482, Bloomington, Indiana |
| Phone Number | 8129185907 |
| Fax Number | 8123536888 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1568562007 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2023-02-08 |
Provider Mailing Address Detail
| Address | 500 S Liberty Dr Ste 482 |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474031924 |
| Phone Number | 8129185907 |
| Fax Number | 8123536888 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 10000648A |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300018336 | IN | -- |
Post Comment/ Review Below
What is the Paul C Mattox's 1568562007?
The Paul C Mattox's NPI (National Provider Identifier) Number is 1568562007. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Paul C Mattox's facilities are situated?
The facilities of Paul C Mattox are physically located at the following address: 500 S Liberty Dr Ste 482, Bloomington, IN, 474031924.
What is Paul C Mattox's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Paul C Mattox is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Paul C Mattox receive its 1568562007 assignment from the Centers for Medicare & Medicaid Services?
The Paul C Mattox was assigned its 1568562007 by the Centers for Medicare & Medicaid Services on 2006-09-24.
When was the information regarding Paul C Mattox most recently updated?
The details pertaining to the Paul C Mattox, including its address, specialty, and other relevant information, were last refreshed on 2023-02-08.